Antimicrobial and physicochemical characterization of endodontic sealers after exposure to chlorhexidine digluconate
Vasileios Kapralos, Håkon Valen, Dag Ørstavik, Andreas Koutroulis, Josette Camilleri and Pia Titterud Sunde | February 11th 2021
The primary aim of root canal treatment of teeth with apical periodontitis is to eliminate the microbial load from the root canal system and promote periapical healing. Meticulous mechanical debridement of the root canal system significantly reduces the bacterial load and is considered important in canal disinfection. However, complete elimination of all microorganisms is challenging, as viable bacteria potentially remain on the dentin walls and inside dentinal tubules, both in planktonic forms and biofilms. About 35% of the root canal area is left untouched when conventional rotary and hand instruments are used. Therefore, disinfection with irrigation solutions during root-canal treatment and thereafter obturation of the root canal are important factors to reduce the amount and growth of residual bacteria.